Kathryn Papa Johanson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009514 Issued in NC

Practice address

127 S Poplar St
Winston Salem, NC 27101-3755

Phone

(336) 705-9404

NPI assigned

Nov 29, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kathryn Casey Johanson Other name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Whole Therapeutic Services

  • Professional Counselor
  • Winston Salem, NC
  • NPI 1932917408
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1902141013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4238 SUNNYDELL DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063552",
            "telephone_number": "336-705-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S POPLAR ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013755",
            "telephone_number": "336-705-9404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 W End Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271011120",
            "country_code": "US",
            "telephone_number": "336-705-9404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHANSON",
        "first_name": "KATHRYN",
        "middle_name": "PAPA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "JOHANSON",
            "middle_name": "CASEY",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ether Sims Joe, FNP
• Larry Lamont Joe Jr.
• Joel a Black Jr DDS PA
• Joel M Switzer DDS PC
• Angel Dianna Joel, MA, LCMHC-A, NCC
• John J. O'Connor Cpo Inc
• John K. Southard, Jr., M.D., P.a.
• John Walton Blackman III DDS
• Karen John
• Vishak Johny John, M.D.

• Clinical Social Worker in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.